Measles Supplementary Immunization Campaign

1
Measles Supplementary Immunization Campaign

• Tajikistan 2004

2
Regional Strategic Plan for Measles Congenital
Rubella Infection (CRI)Objectives

• By 2010
• Interrupt indigenous transmission of measles
• Prevent CRI (lt 1 case of CRS per 100 000 live
  births)

3
Measles Congenital Rubella Infection 6 Key
strategies

• Achieve and sustain very high coverage with two
  doses of measles vaccine
• Provide a second opportunity for measles
  immunization
• Target populations susceptible to rubella
• Ensure protection of women of childbearing age
• Strengthen surveillance systems
• Improve availability of information on
  immunization

4
Political commitment

• The Ministry of Health, Tajikistan approved
  National Strategic Plan to move steadily toward
  achieving measles elimination through
  strengthening routine immunization services and
  supplementary immunization activities.
• The catch-up measles vaccination campaign is
  one of the key strategies of the plan.

5
TJK Measles partnership

• Ad hoc meetings with key partners (MoH, WHO,
  UNICEF, CDC, ARC)
• Budapest, Cape Town, Geneva (2003)
• Regular conference calls (monthly)
• In-country cooperation and coordination
• ICC meetings
• Partners meetings

6
The measles campaign

• The measles immunization campaign is scheduled
  for September October 2004
• Target groups
• Children and schoolchildren aged 1-19 years
  outside Sogd Oblast,
• Persons of the same age (1-19 years) expanded to
  college and university students, military and
  police up to the age 29 years in Sogd Oblast, and
• Health care workers up to the age 29 years in all
  areas.

7
Strategies

• Measles vaccine will be delivered through
• fixed immunization posts
• temporary established immunization posts in
  educational institutions.
• mobile teams.
• The measles immunization will be supplemented
  with Vitamin A delivery to children 1 5 years
  of age.

8
Some figures

• Target group estimated 2,867,000
• by fixed posts 17 (494,000)
• by mobile teams 19 (535,700)
• in schools/colleges/universities 64
  (1,837,200)
• Immunization staff needed 3,230
  medical staff
• Duration of the campaign 15 working days
• Estimated costs 2,677,400
• vaccine injection materials 1,195,700
• operational costs 1,471,700

9
Planning process

• Macroplanning
• Assessments, commitments consensus
• Budget estimation
• Fund rising
• Microplanning
• Bottom up planning
• Revising and finalization PoA and budget

10
Programmatic areas

• Training
• Advocacy and social mobilization
• Immunization safety
• Supervision and monitoring
• Disease surveillance
• Implementation and evaluation

11
WHO consultants mission

• Assist MoH in developing draft operational plan
  of actions
• Provide technical assistance in preparation and
  implementation of EPI MLM training course
• Provide technical assistance in strengthening
  measles routine surveillance
• Planning Safe Immunization Practice survey

12
WHO is committed

• With an overall objective to strengthening
  routine immunization system
• Provide technical expertise and assistance in
  preparation and implementation of the campaign
• NPO, STCs, STP (9-11 months)
• SIP assessment
• Support training activities for routine
  immunization, the campaign and disease
  surveillance